HomeMy WebLinkAbout30141509 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing Permit #: 30141509
Pin #: 4135{I
Permit Counter: (714) 647-5800 lnspection Requests: QM) 667-2738 lnspector Section: (714) 647-5853
Project Address: 1610 W Raymar St
Assessor's Parcel: 010-034-04 Lot: 78
Unit:
Block: NA
Bldg:
Tract: 1856
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone
John Teng
1610 RAYMAR ST
Santa Ana, CA 927034619
(7141 589-6148
Drain Right
18012 S Figueroa Street
Gardena, CA 90248
(310) ele4681
01 1 16002 51602
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
Fee Type
Sewer Alter/Repair
General Plan Update
lssuance
Microfilm Records
Amount
46.25
22.95
57.20
3.91
Qty
1.00
1.00
1 .00
1 .00
Fee
$46.25
$22 95
$s7 20
$3.e1
State Lic #: 852708
Lic Type: C-36
Bus. Lic #. 346042
Workers' Compensation lnsurance:Carrier: Oak River lnsurance Company
Policy #: DRWC913S18
Expires: 1010412019
Bs[ch*:52878 Il/3/2019 ID: omoro0ffice: CTYH Trnnsi: S 1 ofAccti: Ref*: 3'J14t5lJ?
Rcpt*:02801190 ll/1/2trl9 11:54 At1
Tronsoction Totnl t131J.31
Dro in R i sht
Genenol Plon Updste Fee
01116002- 51600[100-
PIutrb ing
01116002- 516021100-
I'l icrof ilm & Docurents
01116002- 3777r)00u-
I (:L (:heck rr000u07091
Notes: Repair & add cleanout to sewer
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Repair Sewer
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
R.3, U
VB
cPc 2016
Planning Cohditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Every permit issued unless the work on the site
within 360 days after itsauthorized by such
issuance, or if the work authorized on the site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
{.!
11t05t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
$22.9s
$1 03 4s
$3.e1
Fee Total:
Paid to Date:
Balance Due:
$130.31
$0.00
$130.31
lnspector MID#: 201 9-155653
#
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG,COMMENTS
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
I nterceptor/ Cla rifier
TOP OUT
Waste & Vent
Water Pipins
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release / I ,t ,t .,/
FINAL
OWNER BUILDER DEL(]ARATION
I hseby aflirnr unds pcnalty of 1Erjury that I an excmpt from the Contracton' Licmrc law for the following rcasn (S(.70.r 1.5
Ilusins and Profession Code): Any City or County uhich rcquirs a Jn'rnit to comtruc1 alts. improve. dmolish or rcpair any
struclurc. prior to its i*guance. also requirG the applicot for such Frmit to file a signcd statonmt that Ltrr she b licos.d puEuet
to lhe provisiotrs of Ihc Contractor's l,iccnsed l,au, (Chapter 9. ('ommencing with Sfilion 7000 of Division 3 of thc Busines and
Prefsions Code) or thal hc or shc is excmpt thsefrom md the basis for the allcged ermption. Any violation of SBtion 7031.5 by any
applicantforaJrmitsubjatsthe applicanttoacivilpcnaltyofnotmorethanfivehundrcddollds($50O).
_ I. r orvner of the preFrry. or my employG lvith N'ag6 as their mlc compcnslion. rvill do the rvort md the struclrc b nol
intoded oroffsedforsle(Sc.7044. IlusinruandPrefsions('ode:TheConlractor'sl,icoscLawdo6notapplylomos'nerof
lhe pmpefly rvho builds or improvc thmn. ud rvho dos uch uort himsclf or herclf or through his or ho our employs.
providcdthatsuch inrprovmtsrcnotintodcdoroflqedfor$lc. lf.ho$o's.thcbuildiogorimpro\qmtismHu'ithinoncya
ofcomplclion. the O$ner Buikls will havc the brrdo ofproting tha hc or she did not build or tnprcic lhc pNpqty for lhe puqn* of
sle).
,- l. s ownq of the prepsty. m crclusiUcly contraclin8 $ilh licmscd conlradoB to conslrud the ]rojst (Ss. 7(N4. B6ins
od l\ofusion Code: Thc Conlractor's l,icense Las do6 not apply to an o$ncr ofproputy rtho builds or improv6 tho@n.
and who conlmcts for such projets wilh a Contmcto(s) liccnsed puEuant to the Contractor's Licmsc [aw),
I m exemDt undcr Sction-, , . ..-,---- . B. & P.C. for this rason.
Dnte: Owner:_
WORKERS' COMPENSATION
DECLARATION
I hereby aflirm under poralty of perjury one of the follorving declarations:
_ I have and rvill maintain a Cerlificate of Consent to Self-lnsure ftrr rvorkers' compensation. as provided fcrr by Section 3700 of the
l-abor Code. for the perfonnance of the rvork for rvhich the pennit is issued.
_ -l have ancl *'ill rnaintain u'orkers' conrpensation insurance. as required by Section -1700 of the [.abor ('ode. for the perftlrmance of
the s,ork for this is issued. My workers' compensation insurance carrier and policy number are:
Policy hrt d q o
_l certi& that in the performance of the rvork for which this perrnit is issued. I shall not onploy any peruon in any manner
so as to become subject to the workers' compensation laws of California. and agree that if I should become subject to the
workers' compensation provisions of Sertion 3700 of the l-abor Code. I shall. forthrvith comply with thosc provisions..
WARNING: Failure to secure rvorkers' compensation coverage
civil fines up to one hundred thousand dollars ($100.000). in r
is unlarvful. and shall subject an anployer to criminal porahies and
the cost of compensation. damages as provided for the
Section 3076 of the Labor Code. interest and fees.
/,
I hereby alTirm under penalty Chapter 9 (comnrencing with Section 7000) of Division 3
of the Business and Professions Code. and my license is in full force and effect.
e-33
l.iccrtsc z r
c()NS'|'RUC'r'tON r.ENpU(;,!(;t NCY
I hereby affirrn under is a construction lending agency for the pcrformance of the work for rvhich this pennit is
issued (Sec. .j097. Civ. C.).
lrnder's Name:
l cttrlct''s Attrlt css:
APPLICANT DECLARA'TION
I hody afiinn under penalty of periury one of the follorving declarations:
Dernolition Perrnits-Asbestos Notifi cat ion Federal Regulat ions ('l'it le 40. Part6 )
_Required Letter of Notification
__l cof ify that the federal regulations regarding asbcstos removal are not applicable to this project.
-l
certi&this application and state that the above infonnation rvith all City and Countl'
and County to enter upon theordinances and relating to
above rnentioned
Applicant or 7
Perrrrilce
for
construction. and
Date:,9
Notes,
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